Trends in Prevalence of Diabetes Among Delivery Hospitalizations, United States, 1993–2009

Details

• Alternative Title:
  Matern Child Health J
• Personal Author:
  Correa, Adolfo ; Bardenheier, Barbara ; Elixhauser, Anne ; Geiss, Linda S. ; Gregg, Edward
• Description:
  To describe recent trends in prevalence of pre-existing diabetes mellitus (PDM) (i.e., type 1 or type 2 diabetes) and gestational diabetes mellitus (GDM) among delivery hospitalizations in the United States. Data on delivery hospitalizations from 1993 through 2009 were obtained from the Health Care Cost and Utilization Project (HCUP) Nationwide Inpatient Sample. Diagnosis-Related Group codes were used to identify deliveries and diagnosis codes on presence of diabetes. Rates of hospitalizations with diabetes were calculated per 100 deliveries by type of diabetes, hospital geographic region, patient's age, degree of urbanicity of patient's residence, categorized median household income for patient's ZIP Code, expected primary payer, and type of delivery. From 1993 to 2009, age-standardized prevalence of diabetes per 100 deliveries increased from 0.62 to 0.90 for PDM (trend p < 0.001) and from 3.09 to 5.57 for GDM (trend p < 0.001). In 2009, correlates of PDM at delivery included older age [40-44 vs. 15-24: odds ratio 6.45 (95 % CI 5.27-7.88)], Medicaid/Medicare versus private payment sources [1.77 (95 % CI 1.59-1.98)], patient's ZIP Code with a median household income in bottom quartile versus other quartiles [1.54 (95 % CI 1.41, 1.69)], and C-section versus vaginal delivery [3.36 (95 % CI 3.10-3.64)]. Correlates of GDM at delivery were similar. Among U.S. delivery hospitalizations, the prevalence of diabetes is increasing. In 2009, the prevalence of diabetes was higher among women in older age groups, living in ZIP codes with lower household incomes, or with public insurance.
• Subjects:
  Adolescent Adult Delivery, Obstetric Diabetes, Gestational Diabetes Mellitus, Type 1 Diabetes Mellitus, Type 2 Female Health Care Costs Hospitalization Humans Maternal Age Pregnancy Pregnancy In Diabetics Prevalence Residence Characteristics Socioeconomic Factors Young Adult

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• Keywords:
  Diabetes Surveillance
• Source:
  Matern Child Health J. 19(3):635-642
• Pubmed ID:
  24996952
• Pubmed Central ID:
  PMC4527040
• Document Type:
  Journal Article
• Funding:
  CC999999/Intramural CDC HHSUnited States/
• Place as Subject:
  United States
• Volume:
  19
• Issue:
  3
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:fec99ba4a29020c83fc30258d959348204bb47f5cac5fd88ecb1f1c921573b3a
• Download URL:
  https://stacks.cdc.gov/view/cdc/32705/cdc_32705_DS1.pdf
• File Type:
  [PDF - 948.36 KB ]